(201) Family April/May 2017 | Page 20

dealing with death WAYS TO HELP SPECIAL NEEDS CHILDREN COPE WITH THE LOSS OF A LOVED ONE 18 APRIL/MAY 2017 | (201) FAMILY routine. Death is something that always changes routine and has the additional overlay of very strong emotion. This is so hard for us, so one can imagine how impossible it is for a special needs child.” Dr. Jen Altman, a psychologist with an office in Ho-Ho-Kus, advises, “Know your child and the level at which she can understand what is happening. Keeping the message simple and direct is important.” Rachel Santiago, a licensed clinical social worker with the COR group in Closter, agrees. “Avoid metaphors. Use literal lan- guage. For example, if a family member dies of a heart attack, tell them that the person’s heart stopped working,” she says. “They might benefit from dis- cussing the causes and risks of a heart attack – that it is rare and often the risk can be reduced with a healthy diet and exercise. Saying someone passed away in their sleep could cause them to fear going to sleep that night as they might equate sleep with the cause of death.” Altman has suggestions for how and when to tell a child about a death. “The best way to tell your child is to make a special time to talk. This con- versation is important, so it’s not one to have in the car on the way to pick up a sibling, or right before gymnastics class or chess lessons,” she says. “Start by telling your child that you have some sad news to share with them. Tell them simply that the person has died. It is important to show your child you have feelings about this too, so don’t worry about crying in front of them. Give your child permission to feel sad or worried or angry, that there is no ‘right way’ to feel or act when you hear this news.” She adds that you should ask if your child has any questions and then answer them. 201magazine.com W e lost many beloved celeb- rities in 2016. Consequently, death was all over the news. Of course, many of us also lost dear relatives and friends. The concept of death is difficult for an adult to under- stand. For a child, let alone a child with special needs, it can be impossible to comprehend. We asked a few local experts to weigh in on how best to explain death to children with special needs. Eileen Schneider, a licensed clinical social worker, with an office in Tenafly, explained some of the unique challenges. “I would say the difference between a neurotypical child understanding death and a special needs child is that the special needs child may be more con- crete in his or her understanding, less able to give empathy to the parent who may have lost his or her own parent. The special needs child may be focused on his or her own needs,” she says. “For example, a grandparent dies and the child says, ‘Am I still going to karate today?’ Special needs children may not react or seem to understand and later fall apart over something seemingly inconse- quential. One thing we know about spe- cial needs children is that they thrive on